array:23 [ "pii" => "S0025775303738688" "issn" => "00257753" "doi" => "10.1016/S0025-7753(03)73868-8" "estado" => "S300" "fechaPublicacion" => "2003-01-01" "aid" => "73868" "copyright" => "Elsevier España, S.L.. Todos los derechos reservados" "copyrightAnyo" => "2003" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2003;121:98-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 6110 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 5145 "PDF" => 959 ] ] "itemSiguiente" => array:18 [ "pii" => "S002577530373869X" "issn" => "00257753" "doi" => "10.1016/S0025-7753(03)73869-X" "estado" => "S300" "fechaPublicacion" => "2003-01-01" "aid" => "73869" "copyright" => "Elsevier España, S.L." "documento" => "article" "crossmark" => 0 "subdocumento" => "edi" "cita" => "Med Clin. 2003;121:100-1" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2392 "formatos" => array:3 [ "EPUB" => 9 "HTML" => 1851 "PDF" => 532 ] ] "es" => array:7 [ "idiomaDefecto" => true "titulo" => "Polineuropatía amiloidótica familiar 2003" "tienePdf" => "es" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "100" "paginaFinal" => "101" ] ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Miguel Munar-Qués" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Miguel" "apellidos" => "Munar-Qués" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S002577530373869X?idApp=UINPBA00004N" "url" => "/00257753/0000012100000003/v1_201307291536/S002577530373869X/v1_201307291536/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0025775303738676" "issn" => "00257753" "doi" => "10.1016/S0025-7753(03)73867-6" "estado" => "S300" "fechaPublicacion" => "2003-01-01" "aid" => "73867" "copyright" => "Elsevier España, S.L." "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2003;121:95-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 4188 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 3669 "PDF" => 511 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Morir en el hospital por enfermedad terminal no oncológica: análisis de la toma de decisiones" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "95" "paginaFinal" => "97" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Dying in the hospital from an end-stage non-oncologic disease: a decision making analysis" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Francesc Formiga, Victoria Vivanco, Yazz Cuapio, Josep Porta, Xavier Gómez-Batiste, Ramón Pujol" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Francesc" "apellidos" => "Formiga" ] 1 => array:2 [ "nombre" => "Victoria" "apellidos" => "Vivanco" ] 2 => array:2 [ "nombre" => "Yazz" "apellidos" => "Cuapio" ] 3 => array:2 [ "nombre" => "Josep" "apellidos" => "Porta" ] 4 => array:2 [ "nombre" => "Xavier" "apellidos" => "Gómez-Batiste" ] 5 => array:2 [ "nombre" => "Ramón" "apellidos" => "Pujol" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775303738676?idApp=UINPBA00004N" "url" => "/00257753/0000012100000003/v1_201307291536/S0025775303738676/v1_201307291536/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Tratamiento con fibrinolisis intrapleural del empiema y el derrame pleural complicado" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "98" "paginaFinal" => "99" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Eduardo Montero Ruiz, Martín Daguerre Talou, Joaquín López Álvarez, Concepción Hernández Ahijado" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Eduardo" "apellidos" => "Montero Ruiz" "email" => array:1 [ 0 => "emonteror@wanadoo.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Martín" "apellidos" => "Daguerre Talou" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Joaquín" "apellidos" => "López Álvarez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Concepción" "apellidos" => "Hernández Ahijado" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "<span class="elsevierStyleItalic">Servicio de Medicina Interna. Hospital Universitario Príncipe de Asturias. Alcalá de Henares. Madrid</span>" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "<span class="elsevierStyleItalic">Unidad de Cuidados Intensivos. Hospital Universitario Príncipe de Asturias. Alcalá de Henares. Madrid. España</span>" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Dr. E. Montero Ruiz. Servicio de Medicina Interna. Hospital Universitario Príncipe de Asturias. Ctra. Alcalá-Meco, s/n. Alcalá de Henares. 28805 Madrid. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Treatment of empyema and complicated pleural effusion with intrapleural fibrinolysis" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-11-20" "fechaAceptado" => "2003-02-18" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec221812" "palabras" => array:3 [ 0 => "Empiema pleural" 1 => "Derrame pleural" 2 => "Agentes fibrinolíticos" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec221813" "palabras" => array:3 [ 0 => "Pleural empyema" 1 => "Pleural effusion" 2 => "Fibrinolytic agents" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento y objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La fibrinolisis intrapleural(FIP) puede evitar la cirugía en pacientescon derrames pleurales loculados.Son escasos los ensayos clínicos y las seriespublicadas sobre su utilización en empiemasy derrames pleurales complicados (DPC).Describimos nuestra experiencia con la FIPen el tratamiento de empiemas y DPC.</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El estudio incluyó a 81pacientes con empiema y DPC, a los que seadministró 100.000 U de urocinasa intrapleuralcada 8 h, con una media de 12,9dosis por paciente.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El drenaje torácico permanecióuna media de 7,7 días y la estancia mediahospitalaria fue de 22,2 días. No se observaronsecuelas radiológicas o fueron levesen 66 casos (81,5%). Cuatro pacientes fallecierony tres requirieron cirugía.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La FIP es una modalidad terapéuticaefectiva y segura en el tratamientode los empiemas y DPC.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background and objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Intrapleural fibrinolysis(IPF) can avoid surgery in patientswith loculated pleural effusions. Few clinicaltrials on IPF for the treatment of empyemas(PEM) and complicated pleural effusions(CPE) have been reported. Wedescribe here our experience with IPF inthe treatment of PEM/CPE patients.</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">81 patients withPEM/CPE were included. Urokinase,100000 U, was instilled into the pleuralcavity, three times a day. A mean of 12.9doses of urokinase were administered.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The mean of days «having a chesttube» was 7.7 days and the mean hospitalstay was 22.2 days. No radiological sequelaewere observed or these were mild in 66cases (81.5%). There were four deaths andthree patients needed surgery.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">IPF is an efective and reliablemethod for the treatment of PEM/CPE.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias Bibliográficas" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Management of complicated parapneumonic effusions" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "S.A. Sahn" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm/148.3.813" "Revista" => array:6 [ "tituloSerie" => "Am Rev Respir Dis" "fecha" => "1993" "volumen" => "148" "paginaInicial" => "813" "paginaFinal" => "817" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8368654" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Derrame pleural paraneumónico y empiema" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R.W. Light" 1 => "J.M. Porcel" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Med Clin (Barc)" "fecha" => "2000" "volumen" => "115" "paginaInicial" => "384" "paginaFinal" => "391" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Treatment of empyema thoracis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "D.K. Kaplan" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "1994" "volumen" => "49" "paginaInicial" => "845" "paginaFinal" => "846" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7940417" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intrapleural fibrinolytic treatment of multiloculated thoracic empyemas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "L.A. Robinson" 1 => "A.L. Moulton" 2 => "W.H. Fleming" 3 => "A. Alonso" 4 => "T.A. Galbraith" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Thorac Surg" "fecha" => "1994" "volumen" => "57" "paginaInicial" => "803" "paginaFinal" => "814" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8166523" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The clinical course and management of thoracic empyema" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A.D. Ferguson" 1 => "R.J. Prescott" 2 => "J.B. Selkon" 3 => "D. Watson" 4 => "C.R. Swinburn" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Q J Med" "fecha" => "1996" "volumen" => "89" "paginaInicial" => "285" "paginaFinal" => "289" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Randomised controlled trial of intrapleural streptokinase in community acquired pleural infection" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R.J.O. Davies" 1 => "Z.C. Traill" 2 => "F.V. Gleeson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "1997" "volumen" => "52" "paginaInicial" => "416" "paginaFinal" => "421" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9176531" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Controlled trial of intrapleural streptokinase in the treatment of pleural empyema and complicated parapneumonic effusions" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "N.K. Chin" 1 => "T.K. Lim" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1997" "volumen" => "111" "paginaInicial" => "275" "paginaFinal" => "279" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9041968" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fluid flow during percutaneous drainage procedures: an in vitro study of the effects of fluid viscosity, catheter size, and adjuntive urokinase" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.K. Park" 1 => "F.C. Kraus" 2 => "J.R. Haaga" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am J Roentgenol" "fecha" => "1993" "volumen" => "160" "paginaInicial" => "165" "paginaFinal" => "169" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Medical and surgical treatment of parapneumonic effusions: An evidence-based guideline" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "G.L. Colice" 1 => "A. Curtis" 2 => "J. Deslauriers" 3 => "J. Heffner" 4 => "R. Light" 5 => "B. Littenberg" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "2000" "volumen" => "118" "paginaInicial" => "1158" "paginaFinal" => "1171" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11035692" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The role of video-assisted thoracoscopic surgery in the treatment of parapneumonic empyema after the failure of fibrinolytics" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "D. Bouros" 1 => "K.M. Antoniou" 2 => "G. Chalkiadakis" 3 => "J. Drositis" 4 => "I. Petrakis" 5 => "N. Siafakas" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00464-001-9028-3" "Revista" => array:6 [ "tituloSerie" => "Surg Endosc" "fecha" => "2002" "volumen" => "16" "paginaInicial" => "151" "paginaFinal" => "154" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11961627" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/00257753/0000012100000003/v1_201307291536/S0025775303738688/v1_201307291536/es/main.assets" "Apartado" => array:4 [ "identificador" => "24087" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Original breve" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00257753/0000012100000003/v1_201307291536/S0025775303738688/v1_201307291536/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775303738688?idApp=UINPBA00004N" ]
Información de la revista
Compartir
Descargar PDF
Más opciones de artículo
Tratamiento con fibrinolisis intrapleural del empiema y el derrame pleural complicado
Treatment of empyema and complicated pleural effusion with intrapleural fibrinolysis
Eduardo Montero Ruiza,
, Martín Daguerre Taloub, Joaquín López Álvareza, Concepción Hernández Ahijadoa
Autor para correspondencia
emonteror@wanadoo.es
Correspondencia: Dr. E. Montero Ruiz. Servicio de Medicina Interna. Hospital Universitario Príncipe de Asturias. Ctra. Alcalá-Meco, s/n. Alcalá de Henares. 28805 Madrid. España.
Correspondencia: Dr. E. Montero Ruiz. Servicio de Medicina Interna. Hospital Universitario Príncipe de Asturias. Ctra. Alcalá-Meco, s/n. Alcalá de Henares. 28805 Madrid. España.